What’s the best treatment for acne scars?
“Acne scarring responds best to a layered plan, and I choose based on the type of scarring. For rolling and boxcar scars I use medical-grade microneedling with the DP4 on its scar-treatment (ST) setting, or RF microneedling, to remodel collagen at depth, and chemical peels to refine surface texture and tone. For tethered scars I add subcision to release the fibrous bands tethering the skin down. When scarring is deeper or more extensive, CO2 or Erbium resurfacing does the most. I often combine several of these over a series of sessions rather than relying on any one treatment.”
— Deborah Lenchus, MSN, APRN
Medically reviewed by Deborah Lenchus, MSN, APRN · Last reviewed July 2026.
Acne scars — whether rolling, boxcar, or icepick — respond best to treatments that rebuild collagen and resurface the skin. There is no one-size-fits-all fix, which is why an experienced assessment matters.
Best treatments for acne scars
- Fractional CO2 — highly effective for atrophic (depressed) acne scars.
- RF microneedling and medical microneedling (DP4) — remodel scar tissue with less downtime and are safe across skin tones.
- Chemical peels — improve superficial scarring and tone.
Deborah’s Clinical Perspective
Acne scars are not all the same, and the type dictates the tool — here is how I actually think about it. Rolling and boxcar scars are collagen deficits, so I remodel them from within with medical-grade microneedling using the DP4 on its scar-treatment (ST) setting or RF microneedling, and I refine surface tone and texture with chemical peels. Tethered scars are held down by fibrous bands beneath the skin, and those need subcision to physically release them before resurfacing can help. When scarring is deeper or widespread, ablative Erbium or CO2 resurfacing does the heaviest lifting. Honest scar work is a series rather than a single visit, so I usually combine modalities across sessions for meaningful, layered improvement — while protecting the skin with sunscreen so new pigment does not set into the healing scars.
Why LuXe
Every treatment is performed personally by nurse practitioner Deborah Lenchus, MSN, APRN — never a technician — at our Davie studio serving Weston, Cooper City, Plantation, Pembroke Pines, Southwest Ranches, and Fort Lauderdale.
FAQ
Can acne scars be removed completely?
Most acne scars can be substantially improved rather than fully erased, often by 50 to 80 percent over a series.
Which treatment is best for my scars?
It depends on scar type and skin tone. We assess and recommend at your consultation.
Book a consultation in Davie & Weston.
Acne Scar Guides from LuXe
Go deeper on the decisions behind your treatment plan: Rolling vs Boxcar vs Ice Pick Scars · DP4 vs RF Microneedling for Acne Scars · How Many Treatments Do You Need? · CO2 vs Erbium Laser · RF Microneedling vs CO2